David William Demello, D.O.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

DD07358 Issued in MI

Practice address

36539 Harper Ave
Clinton Township, MI 48035-2012

Phone

(586) 900-8225

Fax

(920) 356-6419

NPI assigned

Jun 25, 2007

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OtolaryngologyAlso: Maxillofacial Surgery, Plastic and Reconstructive Surgery

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Repose PLLCGroup PAC ID 2769854579, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Repose PLLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Clinton Township, MI
  • NPI 1144944349
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Macomb

  • Psychiatric Hospital Unit
  • Shelby Township, MI
  • NPI 1184206385
  Care Compare affiliation
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1639375884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PARK AVE STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162132",
            "telephone_number": "920-885-5225",
            "fax_number": "920-356-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36539 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352012",
            "telephone_number": "586-900-8225",
            "fax_number": "920-356-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMELLO",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "DD07358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4939290",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Dekoski
• Jennifer Delazzari, LLPC
• Jerel Eugene Deldotto, PHD
• Sharna Deluca
• Alexis Demchyna
• Robert Edward Demercurio, D.O.
• Ashley Demonique
• Lisa Mae Demopoulos-Cardinale, LMSW, LLP
• Nicholas Denault, LLMSW
• Nicole Deneweth

• Otolaryngology/Facial Plastic Surgery Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.